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General NPI Number Information
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NPI Number | 1396459533
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Entity Type | Individual
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Provider Name | MILANE SOMARY MEDINA ORTIZ LND, MHSN, DE-PR
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Gender | Female
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Dates
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Enumeration Date | 01/12/2023
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | CARR. 857 KM 0.4 BO. CANOVANILLAS
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City | CAROLINA
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State | PR
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Zip | 00987
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Country | US
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Telephone | 787-435-4392
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Fax |
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Provider Business Mailing Address
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Address Line | AN-33 CALLE #32 URB. VILLAS DE RIO GRANDE
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City | RIO GRANDE
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State | PR
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Zip | 00745-2836
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Country | US
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Telephone | 787-435-4392
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | 1267
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License Number State | PR
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